©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
Maternity Exam 1 NCLEX Questions and Answers (100% Pass)
A laboring woman is lying in the supine position. The most appropriate nursing action is
to:
a. Ask her to turn to one side.
b. Elevate her feet and legs.
c. Take her blood pressure.
d. Determine whether there is fetal tachycardia. - ✔️✔️a. may cause heavy uterus to put
pressure on the vena cava. reducing blood to her heart. relieved by having her turn to
one side.
Which action best explains the main role of surfactant in the neonate?
A) Assists with ciliary body maturation in the upper airways
B) Helps maintain a rhythmic breathing pattern
C) Promotes clearing mucus from the respiratory tract
1
,©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
D) Helps the lungs remain expanded after the initiation of breathing - ✔️✔️D) Helps the
lungs remain expanded after the initiation of breathing
Surfactant works by reducing surface tension in the lung. Surfactant allows the lung to
remain slightly expanded, decreasing the amount of work required for inspiration.
Four hours after a difficult labor and birth, a primiparous woman refuses to feed her
baby, stating that she is too tired and just wants to sleep. The nurse should:
1.Tell the woman she can rest after she feeds her baby
2.Recognize this as a behavior of the taking-hold stage
3.Record the behavior as ineffective maternal-newborn attachment
4.Take the baby back to the nursery, reassuring the woman that her rest is a priority at
this time - ✔️✔️4. Response 1 does not take into consideration the need for the new
mother to be nurtured and have her needs met during the taking-in stage. The behavior
described is typical of this stage and not a reflection of ineffective attachment unless the
behavior persists. Mothers need to reestablish their own well-being in order to
effectively care for their baby
Which anticipatory guidance action by the nurse makes role transition to parenthood
easier?
2
,©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
a. Helps the new parents identify resources
b. Recommends employing babysitters frequently
c. Tells the parents about the realities of parenthood
d. Offers a home phone number and tells parents to call if they have a question - ✔️✔️A
Available resources within the community can assist the parents in role transition. Some
parents may not be able to afford babysitters. Also, this removes them from the
parenthood role. Each adult sees parenthood in a different light. They cannot be
compared. Searching out resources for the parents is an important task. However, the
nurse should not give her personal number to clients.
A client with group AB blood whose husband has group O has just given birth. The
major sign of ABO blood incompatibility in the neonate is which complication or test
result?
A) Negative Coombs test
B) Bleeding from the nose and ear
C) Jaundice after the first 24 hours of life
3
, ©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
D) Jaundice within the first 24 hours of life - ✔️✔️D
The neonate with ABO blood incompatibility with its mother will have jaundice
(pathologic) within the first 24 hours of life. The neonate would have a positive Coombs
test result
To promote bonding and attachment immediately after birth, which action should the
nurse take?
a. Assist the mother in feeding her baby.
b. Allow the mother quiet time with her infant.
c. Teach the mother about the concepts of bonding and attachment.
d. Assist the mother in assuming an en face position with her newborn. - ✔️✔️D
Assisting the mother in assuming an en face position with her newborn will support the
bonding process. After birth is a good time to initiate breastfeeding, but first the mother
needs time to explore the new infant and begin the bonding process. The mother should
be given as much privacy as possible; however, nursing assessments must still be
4
WEST VIRGINIA UNIVERSIRTY-WV26506
Maternity Exam 1 NCLEX Questions and Answers (100% Pass)
A laboring woman is lying in the supine position. The most appropriate nursing action is
to:
a. Ask her to turn to one side.
b. Elevate her feet and legs.
c. Take her blood pressure.
d. Determine whether there is fetal tachycardia. - ✔️✔️a. may cause heavy uterus to put
pressure on the vena cava. reducing blood to her heart. relieved by having her turn to
one side.
Which action best explains the main role of surfactant in the neonate?
A) Assists with ciliary body maturation in the upper airways
B) Helps maintain a rhythmic breathing pattern
C) Promotes clearing mucus from the respiratory tract
1
,©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
D) Helps the lungs remain expanded after the initiation of breathing - ✔️✔️D) Helps the
lungs remain expanded after the initiation of breathing
Surfactant works by reducing surface tension in the lung. Surfactant allows the lung to
remain slightly expanded, decreasing the amount of work required for inspiration.
Four hours after a difficult labor and birth, a primiparous woman refuses to feed her
baby, stating that she is too tired and just wants to sleep. The nurse should:
1.Tell the woman she can rest after she feeds her baby
2.Recognize this as a behavior of the taking-hold stage
3.Record the behavior as ineffective maternal-newborn attachment
4.Take the baby back to the nursery, reassuring the woman that her rest is a priority at
this time - ✔️✔️4. Response 1 does not take into consideration the need for the new
mother to be nurtured and have her needs met during the taking-in stage. The behavior
described is typical of this stage and not a reflection of ineffective attachment unless the
behavior persists. Mothers need to reestablish their own well-being in order to
effectively care for their baby
Which anticipatory guidance action by the nurse makes role transition to parenthood
easier?
2
,©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
a. Helps the new parents identify resources
b. Recommends employing babysitters frequently
c. Tells the parents about the realities of parenthood
d. Offers a home phone number and tells parents to call if they have a question - ✔️✔️A
Available resources within the community can assist the parents in role transition. Some
parents may not be able to afford babysitters. Also, this removes them from the
parenthood role. Each adult sees parenthood in a different light. They cannot be
compared. Searching out resources for the parents is an important task. However, the
nurse should not give her personal number to clients.
A client with group AB blood whose husband has group O has just given birth. The
major sign of ABO blood incompatibility in the neonate is which complication or test
result?
A) Negative Coombs test
B) Bleeding from the nose and ear
C) Jaundice after the first 24 hours of life
3
, ©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
D) Jaundice within the first 24 hours of life - ✔️✔️D
The neonate with ABO blood incompatibility with its mother will have jaundice
(pathologic) within the first 24 hours of life. The neonate would have a positive Coombs
test result
To promote bonding and attachment immediately after birth, which action should the
nurse take?
a. Assist the mother in feeding her baby.
b. Allow the mother quiet time with her infant.
c. Teach the mother about the concepts of bonding and attachment.
d. Assist the mother in assuming an en face position with her newborn. - ✔️✔️D
Assisting the mother in assuming an en face position with her newborn will support the
bonding process. After birth is a good time to initiate breastfeeding, but first the mother
needs time to explore the new infant and begin the bonding process. The mother should
be given as much privacy as possible; however, nursing assessments must still be
4
